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Dale Jacknow

NPI 1194959569 · on the registry since 2009 · sole proprietor

Practice

Address
101 S San Mateo Dr
Suite 208
San Mateo, CA 94401
Phone
(650) 342-3137
Organisation at this address
Ari Wes Md
S Takhar Md
Ann Watters Phd Inc
Thomas O. Stodgel, Md
Gurpreet K Padam Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
2080P0006X
2080P0006X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California